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NPI Code Detail

MEDICARE: MRS. VICTORIA C. SOTO MARTINEZ PA-C

MEDICARE:  MRS. VICTORIA C. SOTO MARTINEZ  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA11460TX

General Provider Information

NPI Number : 1225547664
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICTORIA C. SOTO MARTINEZ PA-C
Provider Business Mailing Address
First Line : 6051 FM 3009 STE 210
Second Line :
City : SCHERTZ
State : TX
Zip : 78154-3473
Country : US
Telephone Number : 210-299-7770
Fax Number : 833-502-1747
Provider Business Practice Location Address
First Line : 6051 FM 3009 STE 210
Second Line :
City : SCHERTZ
State : TX
Zip : 78154-3473
Country : US
Telephone Number : 210-299-7770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2017
Last Update Date : 10/04/2024

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Directions to “ MRS. VICTORIA C. SOTO MARTINEZ PA-C” Practice Location

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